| NPI | 1295020550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 66215) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036134739) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2020-08-12 |